Jackson, Melody Felissa

Jackson, Melody Felissa is an individual health care provider with primary practice located at 1611 Nw 12Th Ave , Miami FL 33136-1005. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Jackson, Melody Felissa can be contacted via phone (305) 585-5143.

Contact Information

Primary practice address
1611 Nw 12Th Ave Miami FL 33136-1005
Phone: (305) 585-5143
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 211763 Florida

Profile Details

NPI number 1902203557
LBN Legal business name Jackson, Melody Felissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2014
Last updated Nov 25th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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